Individual provider Active NPI

Robin Fine, LCSW, PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1619396645
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009031 Issued in NC
Practice address
6845 Fairview Rd
Charlotte, NC 28210-3363
Phone
(704) 577-1179
Fax
(704) 365-9256
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW22619 FL
Clinical Social Worker 1041C0700X C009031 NC Primary

Addresses

Primary practice location

6845 Fairview Rd
Charlotte, NC 28210-3363

Mailing address

6845 Fairview Rd
Charlotte, NC 28210-3363
Phone (704) 577-1179

Other practice location 1

12607 SW Blue Mangrove Pkwy
Port St Lucie, FL 34987-6964
Phone (704) 577-1179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 26, 2018 through Feb 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW22619FLMDClinical Social Worker
C009031NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Fine, LCSW, PLLC CurrentSince May 19, 2024 Accepting new patients

Locations

6845 Fairview Rd
Charlotte, NC 28210
Phone (704) 364-4333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1619396645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103363",
            "telephone_number": "704-577-1179",
            "fax_number": "704-365-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103363",
            "telephone_number": "704-577-1179",
            "fax_number": "704-365-9256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12607 SW Blue Mangrove Pkwy",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349876964",
            "country_code": "US",
            "telephone_number": "704-577-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINE",
        "first_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, PLLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22619",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.